How much rates vary
Facilitymedian $363 · 10th to 90th $98 to $933Professionalmedian $263 · 10th to 90th $138 to $479
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $97.72 Median $138.04 Typical High $933.25 | Facility | None | $97.72 | $138.04 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $213.80 | Professional | None | $97.72 | $138.04 | $213.80 |
BCBS Minnesota Setting Facility Modifier None Typical Low $416.87 Median $707.95 Typical High $1,513.56 | Facility | None | $416.87 | $707.95 | $1,513.56 |
BCBS Minnesota Setting Professional Modifier None Typical Low $162.18 Median $263.03 Typical High $436.52 | Professional | None | $162.18 | $263.03 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $354.81 Typical High $676.08 | Facility | None | $229.09 | $354.81 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $501.19 | Professional | None | $169.82 | $295.12 | $501.19 |
Health Partners Setting Facility Modifier None Typical Low $204.17 Median $331.13 Typical High $575.44 | Facility | None | $204.17 | $331.13 | $575.44 |
Health Partners Setting Professional Modifier None Typical Low $162.18 Median $269.15 Typical High $537.03 | Professional | None | $162.18 | $269.15 | $537.03 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $309.03 Typical High $1,230.27 | Facility | None | $125.89 | $309.03 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $398.11 Typical High $1,318.26 | Professional | None | $208.93 | $398.11 | $1,318.26 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $138.04 Median $281.84 Typical High $457.09 | Professional | None | $138.04 | $281.84 | $457.09 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $48.98 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $48.98 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $19.50 | $27.54 | $27.54 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $72.44 Median $102.33 Typical High $102.33 | Facility | 54 · Surgery only | $72.44 | $102.33 | $102.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $14.45 Median $20.42 Typical High $20.42 | Facility | 55 · Aftercare only | $14.45 | $20.42 | $20.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $9.77 Median $13.80 Typical High $13.80 | Facility | 56 · Pre-op care only | $9.77 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $48.98 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $19.50 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $91.20 Typical High $102.33 | Professional | 54 · Surgery only | $72.44 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $18.20 Typical High $20.42 | Professional | 55 · Aftercare only | $14.45 | $18.20 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $12.02 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.77 | $12.02 | $13.80 |
Where Minnesota sits
The same service costs 11.5 times more in Connecticut than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CT $2,992MD $261
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.